CAJ | 학술논문

目的探讨卵巢子宫内膜异位囊肿行腹腔镜保守性手术后应用促性腺激素释放激素激动剂(GnRH-a)联合去氧孕烯炔雌醇(妈富隆)的治疗效果.方法选取59例卵巢子宫内膜异位囊肿患者,其中腹腔镜保守性手术后应用GnRH-a联合妈富隆治疗的患者19例(A组),行腹腔镜保守性手术后单用GnRH-a治疗的患者20例(B组),行腹腔镜保守性手术后未用药物治疗的患者20例(C组).比较三组术后总主观症状评分、复发情况,并观察药物的不良反应.结果术后3年A组复发囊肿的直径及总主观症状评分分别为(12±1)mm和(1.2±0.9)分,在三组中均为最低(P＜0.05).结论腹腔镜保守性手术后应用GnRH-a联合妈富隆对卵巢子宫内膜异位囊肿的疗效优于术后单用GnRH-a和术后未用药物者.
목적 탐토란소자궁내막이위낭종행복강경보수성수술후응용촉성선격소석방격소격동제(GnRH-a)연합거양잉희결자순(마부륭)적치료효과.방법 선취59례란소자궁내막이위낭종환자,기중복강경보수성수술후응용GnRH-a연합마부륭치료적환자19례(A조),행복강경보수성수술후단용GnRH-a치료적환자20례(B조),행복강경보수성수술후미용약물치료적환자20례(C조).비교삼조술후총주관증상평분、복발정황,병관찰약물적불량반응.결과 술후3년A조복발낭종적직경급총주관증상평분분별위(12±1)mm화(1.2±0.9)분,재삼조중균위최저(P＜0.05).결론 복강경보수성수술후응용GnRH-a연합마부륭대란소자궁내막이위낭종적료효우우술후단용GnRH-a화술후미용약물자.
Objective To study the clinical effect of gonadotropin releasing hormone-analogue (GnRH-a) and marvelon in the treatment of ovarian endometriesis after laparoscopy.Method The postoperative women with ovarian endometriosis were divided into three groups:19 treated with GnRH-a and marvelon(greup A),20 treated with GnRH-a(group B),20 without endocrinal therapy(group C).The symptoms scores,the recurrence and side effects were compared.ResultsThree years after laparescopy,the recurrent rate and symptoms scores in group C was the highest (P＜0.05),the recurrent cyst size [(12 + 1)mm] and symptoms scores [(1.2 + 0.9)scores] in group A was the lowest among three groups.Conclusions Marvelon and GnRH-a can be used in the treatment of ovarian endometriesis after laparoseopy.The effect of marvelon combined with GnRH-a is prior to GnRH-a.